Single-clamp repair of aneurysms of the descending thoracic aorta.
Ischemic injury of the spinal cord remains a serious threat during the surgical treatment of aneurysms of the descending and thoracoabdominal aorta. Time is the critical factor in preventing spinal cord injury. The author uses a single-clamp technique that is simple and limits distal dissection, heparin dosage, and cross-clamp time, thus reducing the risk of paraplegia.
Cooley
D A
DA
Texas Heart Institute, Houston 77225-0345, USA.
D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D007511:Ischemia / Q000517:prevention & control*; D010264:Paraplegia / Q000517:prevention & control; D013116:Spinal Cord / Q000098:blood supply*; D013997:Time Factors